Medial umbilical ligament | |
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![]() The peritoneum of the male pelvis. (Medial umbilical ligament labeled at bottom left.) | |
![]() Posterior view of the anterior abdominal wall in its lower half. The peritoneum is in place, and the various cords are shining through. | |
Details | |
Source | Internal iliac artery |
To | Superior vesical artery, artery to the ductus deferens |
Nerve | Superior hypogastric plexus |
Identifiers | |
Latin | chorda arteriae umbilicalis, ligamentum umbilicale mediale |
TA98 | A12.2.15.026 |
Anatomical terminology |
The medial umbilical ligament, cord of umbilical artery, or obliterated umbilical artery is a paired structure found in human anatomy. It is on the deep surface of the anterior abdominal wall, and is covered by the medial umbilical folds (plicae umbilicales mediales). It is different from the median umbilical ligament, a structure that represents the remnant of the embryonic urachus.
It represents the remnant of the umbilical arteries, which serves no purpose in humans after birth, except for the initial part that becomes the adult superior vesical artery. The occluded part of umbilical artery becomes the medial umbilical ligament postnatal.
The medial umbilical ligament arises from the anterior division of the internal iliac artery.
It may be used as a landmark for surgeons performing laparoscopic procedures to help identify and avoid damaging the inferior epigastric arteries during port placement. Other than this, it has no purpose in an adult and it may be cut or damaged with impunity.
The supravesical fossa, and therefore a supravesical hernia, is medial to this structure. The medial inguinal fossa, and therefore a direct inguinal hernia, is lateral to it.
The inguinal canal is a passage in the anterior abdominal wall on each side of the body, which in males, convey the spermatic cords and in females, the round ligament of the uterus. The inguinal canals are larger and more prominent in males.
The genitofemoral nerve is a mixed branch of the lumbar plexus derived from anterior rami of L1-L2. It splits a genital branch and a femoral branch. It provides sensory innervation to the upper anterior thigh, as well as the skin of the anterior scrotum in males and mons pubis in females. It also provides motor innervation to the cremaster muscle.
The umbilical artery is a paired artery that is found in the abdominal and pelvic regions. In the fetus, it extends into the umbilical cord.
The inguinal ligament, also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop.
The external iliac arteries are two major arteries which bifurcate off the common iliac arteries anterior to the sacroiliac joint of the pelvis.
The internal iliac artery is the main artery of the pelvis.
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.
In vertebrates, the pubis or pubic bone forms the lower and anterior part of each side of the hip bone. The pubis is the most forward-facing of the three bones that make up the hip bone. The left and right pubic bones are each made up of three sections; a superior ramus, an inferior ramus, and a body.
The conjoint tendon is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal.
In human anatomy, the inguinal region refers to either the groin or the lower lateral regions of the abdomen. It may also refer to:
The transversalis fascia is the fascial lining of the anterolateral abdominal wall situated between the inner surface of the transverse abdominal muscle, and the preperitoneal fascia. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fascia.
The lateral umbilical fold is an elevation of the peritoneum lining the inner/posterior surface of the lower anterior abdominal wall formed by the underlying inferior epigastric artery and inferior epigastric vein which the peritoneum covers. Superiorly, the lateral umbilical fold ends where the vessels reach and enter the rectus sheath at the arcuate line of rectus sheath; in spite of the name, the lateral umbilical folds do not extend as far superiorly as the umbilicus. Inferiorly, it extends to just medial to the deep inguinal ring.
In human anatomy, the median umbilical ligament is an unpaired midline ligamentous structure upon the lower inner surface of the anterior abdominal wall. It is covered by the median umbilical fold.
The lateral inguinal fossa is a structure described in human anatomy. It is a shallow concave stretch of peritoneum on the deep surface of the anterior abdominal wall and is best seen from the greater peritoneal cavity, looking anteriorly.
The medial umbilical fold is an elevation of the peritoneum lining the inner surface of the lower anterior abdominal wall formed by the underlying medial umbilical ligament which the peritoneum covers. Superiorly, the two medial umbilical folds converge towards the midline to meet and terminate at the umbilicus.
The medial inguinal fossa is a depression located within the inguinal triangle on the peritoneal surface of the anterior abdominal wall between the ridges formed by the lateral umbilical fold and the medial umbilical ligament, corresponding to the superficial inguinal ring.
The supravesical fossa is a depression upon the inner surface of the anterior abdominal wall superior to the bladder formed by a reflection of the peritoneum onto the superior surface of the bladder. It is bounded by the medial umbilical fold and median umbilical fold.
The superficial inguinal ring is bounded below by the crest of the pubis; on either side by the margins of the opening in the aponeurosis, which are called the crura of the ring; and above, by a series of curved intercrural fibers.
Related to the urinary bladder, anteriorly there are the following folds:
The following outline is provided as an overview of and topical guide to human anatomy: